CHUDLEIGH PA NPI 1003295429

NPI Information

NPI: 1003295429
Provider Name: CHUDLEIGH, PA

Doing Business As: TRANSITION GERIATRICS GROUP

Classification: Clinical Nurse Specialist - 364SG0600X
Entity Type: Organization

Specialization: Gerontology

Address:
3724 EXECUTIVE CENTER DR
STE 230
AUSTIN, TX
ZIP 78731
Phone: (512) 452-2100
Get Directions

CHUDLEIGH, PA is a gerontology clinical nurse specialist in Austin, TX. CHUDLEIGH, PA NPI is 1003295429. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Transition Geriatrics Group.

The provider's business location address is:

3724 EXECUTIVE CENTER DR
STE 230
AUSTIN, TX
ZIP 78731-646
Phone: (512) 452-2100
Fax: (855) 456-7410

The provider's authorized official is James C Chudleigh .
The authorized official title is Medical Director and has the following contact phone number (512) 452-2100.

The enumeration date for this NPI number is 5/19/2015 and was last updated on 5/19/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SG0600X	Clinical Nurse Specialist	Gerontology	F1450	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00651Y	OTHER	TEXAS	PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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